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DATE/TIME <br />TYPE <br />OCCUPANCY <br />CDNST TYPE <br />UGB: SITE: <br /> <br /> BUILDING PERMIT <br />08/25/99 15:46 <br />Resident, addition/alteration <br /> <br />V-N <br /> <br />PERMIT NO <br />STATUS <br />ISSUEO <br />TO EXPIRE <br />PAGE <br /> <br />99-05990 <br />ISSUED <br />08/25/1999 <br />02/21/2000 <br /> 1 <br /> <br />WORK DESC <br />SITE ADDRESS <br /> <br />SUBDIVISION <br />TAX ACCOUNT <br /> PARCEL SIZE <br />APPLICANT <br /> ADDRESS <br /> <br /> PHONE <br />TOTAL SQ FEET <br /> <br />VALUATION <br /> <br />: BAIHROOM & BEDROOM AODIIION lO SFD <br /> 19627 ASPEN WAY CT NE AR <br /> <br />LOCATDR: 041W22DCOllOO <br /> CITY: MARION COUNTY <br /> <br />LAKEWOOD EST #4LOT: <br />72651 361 MAP: 5R <br /> .00 AC <br />CORREA,JDSE T & RUFINA <br />19627 ASPEN CT <br />AURORA, OR <br /> 97002 <br />503-678-5320 <br />280 1ST FLR: 280 <br /> GARAGE: <br />$18.104.80 <br /> <br />BL: 3 <br />ZONE: RS LAND USE: <br /> <br /> OWNER : CORREA,JOSE T & RUFINA <br /> PHONE: <br /> CONTR : <br /> PHONE: <br /> OCCB: <br />2ND FLR: 3RD FLR: <br />BASEMENT: OTHER: <br />STORIES: HEIGHT: <br /> <br />Units Description Fee <br /> 1.0 Building Fee 134.50 <br /> 1,0 Plan Review Fee 87.43 <br /> ] State surcharge 9.42 <br /> 1 Zone surcharge 8,07 <br /> <br /> Assessed fees 239.42 <br /> Adjustments .00 <br /> Total fees 239,42 <br /> PAYEE~ Total payments: 239.42 <br /> Balance due: .00 <br /> <br /> IHIS PERMIT IS NON-IPANSFEP~ABLE AND EXPIRES 180 DAYS FROM ISSUED DATE IF WORK <br /> HAS NOT COMMENCED, OR IF CONSTRUCTION CEASES FOR A PERIOD OF i80 DAYS. OR IF WORK <br /> FAILS TO MEET ALL REQUIREMENTS OF STATE LAWS AND MARION COUNTY ORDINANCES, UPON <br /> WRITTEN REQUEST PRIOR TO EXPIRATION, ONE SIX MONTH EXTENSION MAY BE GRANTED. <br /> <br /> [ ] I am the PROPERTY OWNER and own. reside in, or will reside in the completed <br /> structure and will be my own general contractor. I understand that I must <br /> register as a construction contractor if the structure is sold or offered for <br /> sale before or upon completion, If I hire subcontractors, I will hire only sub- <br /> contractors registered with the Construction Contractors Board, If I change my <br /> mind and do hire a general contractor who is registered, I will immediately <br /> notify Marion County of the name of the contractor. <br /> [ ] I am the CONTRACTOR registered with the State of Oregon. <br /> [ ~ I am an AUTHORIZED REPRESENTATIVE of the property owner or contractor. <br /> <br /> SIGNATURE OF APPLICANT: <br /> <br /> Marion County Building Inspection !- <br /> 3150 Lancaster Dr. N.E., Suite C Salem, Oregon 97305-1398 <br />Office Hours: 8:00-4:30 Phone: (503)588-5147 24-hr Inspection Line: (503)373-4427 <br /> <br />F_..I L E <br /> <br /> <br />